Individual provider · Type 1 NPI
Michael J. Russell Ii
Professional Counselor · Park Ridge, IL
NPI number
1952094880
Active
Practice location
250 S NW Highway, Suite 110
Park Ridge, IL 60068
Mailing address
6470 N Olympia Ave
Chicago, IL 60631-1519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178019110 (IL) |
| Professional Counselor Primary | 101YP2500X | 180018722 (IL) |
Professional Counselor: Definition to come...
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About NPI 1952094880
Michael J. Russell Ii's National Provider Identifier is 1952094880, issued on May 26, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Sep 2, 2026.